| Perioperative considerations for patients with liver disease. | |
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MedLine Citation:
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PMID: 19880842 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In surgical patients with underlying chronic liver disease, surgical outcomes correlate with hepatocellular function. The risk of surgery in such patients should be assessed preoperatively using the Child-Pugh or Model for End-Stage Liver Disease (MELD) severity scoring systems. Patients with severe liver disease (eg, Child-Pugh class C) should not undergo any elective surgery and should be evaluated for liver transplantation. In patients who can proceed with surgery, coagulopathy should be corrected preoperatively and careful fluid management is required intraoperatively to avoid hypotension. Renal insufficiency (as evidenced by elevated creatinine) may indicate that hepatorenal syndrome has developed and carries a poor prognosis. |
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Authors:
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Paul Martin |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Cleveland Clinic journal of medicine Volume: 76 Suppl 4 ISSN: 1939-2869 ISO Abbreviation: Cleve Clin J Med Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-11-02 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703441 Medline TA: Cleve Clin J Med Country: United States |
Other Details:
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Languages: eng Pagination: S93-7 Citation Subset: IM |
Affiliation:
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Division of Hepatology, University of Miami Miller School of Medicine, PO Box 016960, Miami, FL 33101-6960, USA. pmartin2@med.miami.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Carcinoma, Hepatocellular
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surgery Cardiovascular Diseases / etiology, prevention & control Health Status Indicators Humans Liver Diseases / surgery* Liver Neoplasms / surgery Male Middle Aged Perioperative Care* Postoperative Complications* Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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